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Adult 2 (quiz before MT)

Total questions: 20

Worksheet time: 14mins

Name
Class
Date
1.

Which of the following endocrine problem a patient who had short stature and generally as an adult height of 4 feet 10 inches (147 centimeters)?

a)

Dwarfism

b)

Cretinism

c)

Acromegaly

d)

Gigantism

2.

A patient suspected of having acromegaly has an elevated plasma growth hormone (GH) level. In acromegaly, what would the nurse also expect the patient’s diagnostic results to indicate?

a)

Plasma glucose of < 70 mg/dl

b)

Decreased GH levels with an oral glucose challenge test

c)

Elevated levels of plasma insulin-like growth factor-1 (IGF-1)

d)

Hyperinsulinemia

3.

What is a cause of primary hypothyroidism in adults?

a)

Malignant or begin

b)

Surgical removal or failure of the pituitary gland

c)

Autoimmune-induced atrophy of the thyroid gland

d)

Surgical removal or radiation of the thyroid gland

4.

A patient with hypoparathyroidisim resulting from surgical treatment of hyperParathyroidisim is preparing for discharge. What should the nurse teach the patients?

a)

Milk and milk products should be increased in the diet.

b)

Parenteral replacement of parathyroid hormone will be required for life.

c)

Calcium supplements with vitamin D can effectively maintain calcium balance.

d)

Bran and whole-grain foods should be used to prevent GI effects of replacrment therapy.

5.

What is the priority nursing intervention during the management of the patient with pheochromocytoma?

a)

Administering IV fluids

b)

Monitoring I/O and daily weights

c)

Administering B-adrenergic blockes

d)

Monitoring blood pressure

6.

During discharge teaching for the patient with Addison’s disease, which statement by the patient indicates that the nurse needs to do additional teaching?

a)

“I should always call the doctor if I develop vomiting or diarrhea.”

b)

“If my weight goes down, my dosage of steroid is probably too high.”

c)

“I should double or triple my steroid dose if I undergo rigorous physical exercise.”

d)

“I need to carry an emergency kit with injectable hydrocortisone in case I can’t take my medication by mouth.”

7.

What are signs and symptoms of acute pancreatitis ?

a)

Diarrhea and Polydipsia

b)

abdominal pain and back pain

c)

fruity breath odor and dehydration

d)

vomiting and Polyphagia

8.

what are the major clinical and diagnostic manifestations of thyroid cancer?

a)

A hard, irregular, painless nodule.

b)

Enlargement of the vocal area.

c)

Greater than 10 cm mass.

d)

A lump in the neck.

9.

A patient who recently had a calcium oxalate renal stone had a bone density study, Which showed a decrease in her bone density. What endocrine problem could this patient have?

a)

Cushing syndrome

b)

Hyperparathyroidism

c)

Hypothyroidism

d)

SIADH

10.

What characterizes type 2 diabetes?

a)

Destruction of the pancreatic beta cell

b)

Initiated by genetic or environmental factors

c)

Insulin resistance

d)

Autoimmune process

11.

Which of the following is not a tropical disease?

a)

Tetanus

b)

Severe Acute Respiratory Syndrome (SARS)

c)

Typhoid

d)

Thyroidism

12.

What are signs and symptoms of Herpetic stomatitis?

a)

The center of ulcers are usually white or yellow.

b)

The fever occurs a few days before the blisters appear.

c)

There are oval ulcers with a red, inflamed border.

d)

There are round ulcers with a red, inflamed border.

13.

A patient reports frequent heartburn twice a week for the past 4 months. What other symptoms reported by the patient may indicate the patient has GERD?

a)

Melena

b)

Difficulty swallowing

c)

Abdominal pain

d)

Red tongue

14.

Which of the following nursing interventions is for risk of esophageal varices bleeding?

a)

Weigh a patient daily.

b)

Assess and record intake and output (I&O).

c)

Observer 24 hrs. Urine.

d)

Monitor vital signs every 4 hours, especially BP.

15.

What is the pre-operative nursing care providing for a patient having bowel surgery?

a)

Avoid cathartics and enemas.

b)

Administer oral Antibiotic in the morning before moving the patient to the operating room.

c)

Provide regular diet in the evening before surgery.

d)

Insert a nasogastric tube as ordered.

16.

How to prevent the cholera disease?

a)

Drinking Non-pathogenic water

b)

Prepare clean food

c)

Wash hands and keep toilets clean

d)

All above

17.

What causes hepatitis A, B, and C?

a)

Viruses

b)

ฺBacteria

c)

Fungus

d)

Genatic

18.

Which kind of hepatitis can spread when bad bathroom habits?

a)

A

b)

B

c)

C

d)

D

19.

Which is the correct statement about Billroth II Gastrectomy?

a)

Direct anastomosis of the fundus of the stomach to the jejunum

b)

Direct anastomosis of the fundus of the stomach to the duodenum

c)

An end-to-side anastomosis of the gastric remnant to a loop of jejunum

d)

An end-to-side anastomosis of the gastric remnant to a loop of duodenum

20.

A patient with chronic peptic ulcer disease underwent a partial gastric resection 2 weeks ago and is reporting nausea, bloating, and diarrhea 30 minutes after eating.

What condition is this patient most likely experiencing?

a)

Gastroparesis

b)

Physical stress

c)

Psychological stress

d)

Dumping Syndrome